| NPI | 1457763195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY KATHLEEN REEVES Dental Hygienist 503-444-1822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: OR H6635) |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2014-05-29 |